Organization
JACKSONVILLE DIAGNOSTIC IMAGING LLC
Active
Other names
NCDI-Mobile 3
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J SCHAEFER (C.O.O.)
(770) 300-0101
Entity
Organization
Contact information
Practice address
14215 BALLANTYNE CORPORATE PL, CHARLOTTE, NC 28277-3670
(704) 384-1890
Mailing address
PO BOX 60598, CHARLOTTE, NC 28260-0598
(678) 992-7373
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/29/2009
Last updated
08/11/2010
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